Doctor insights on:
Addiction Relapse Rates
Aadderall addiction: is outpatient treatment a viable alternative to an inpatient program? Are success rates significantly lower?
Addiction is a primary, chronic disease of brain reward, motivation, memory, and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors. A person affected by addiction will be unable to consistently Abstain from use, will have Impaired Behavioral control, will have Craving or increased "hunger" for drugs or rewarding experiences, will have a Dysfunctional Emotional response, and will show diminished recognition of significant problems with their own ...Read more
What are your personal experiences of success using erp to treat adult ocd? Relapse rate? Treatment success in symptom reduction?
ERP works if you do: Exposure and response prevention (erp) for ocd works. It only works, however, if you work and stay committed to it. A therapist who is a good fit will push you to stretch your limits but not so hard that it feels impossible, and will support you through setbacks and encourage you to keep on pushing your limits. If you keep working on it, little by little you will be successful. ...Read more
Depends: But long term success at smoking cessatoin under the most optimized clinical trial curcumstances is about 25%. This is why its best never to start. The tobacco companies know how hard it is for you to stop, and they have known for a long time. They have iontentianally designed their products to maximally addictive. ...Read more
Smoking, probably: There are over 50 million smokers in the us, and it is a major cause of death and disability, in addition to enormous financial costs. Nobody knows how many problem gamblers there are, and there are few medical costs associated (although there is a higher rate of smoking, alcohol and drug abuse in problem gamblers). Both cause misery and pain to sufferers, their families and society at large. ...Read more
Any docs believe prescribing adderall/other prescription amphetamine effective/acceptable sub to prevent relapse, aid in withdrawal symptoms for meth addiction?
Harm Reduction. : The ideal treatment for meth addiction is one that does not include use of stimulants. The meth addict treated with stimulant replacement runs the risk of impaired control over use. At the same time, the physician should "first do no harm", and in rare case by case basis may have to employ the lesser of two evils for purposes of harm reduction. Ideally addressed by an addiction psychiatrist. ...Read moreSee 1 more doctor answer
Incentive & triggers: Behavior modification takes 28 days. Do the same thing every day for 28 days and by default you will have retrained your subconscious mind to do something different (not smoke) . The key is to understand your triggers and to plan ahead. Four keys to success: behavior modification(28 days), nicotine withdrawal (14 days), diet and exercise for neutral weight control. Have to have a day one ...More. ...Read moreSee 1 more doctor answer
Emotionally disturbed addict. I'm a recovering alcohol, crack, heroin and Valium addict, how to cope?
You need support: Few people, if anyone, can recover all on their own. There are self-help groups like aa/na and others, formal therapy groups that use cognitive behavioral therapy, individual psychotherapies and family/couples therapies. Work on improving health with diet and exercise, and develop other fulfilling activities and hobbies, religious and/or meditative practices. Treat underlying psychiatric problem. ...Read more
Lifetime,1 day @time: It gets easier over time but most people need ongoing support to stay stopped for any type of addiction. Try marijuana anonymous @ www.Marijuana-anonymous.Org. Check local drug treatment programs too. There is lots of hope and help, you are not alone and don't have to do it on your own. ...Read moreSee 1 more doctor answer
Yes: Recovery planning is very important. There are recources or people who can help. Going to aa and getting a sponsor is a form of recovery planning, talking to your doctor is another. Some therapist are specialized in recovery planning. Have a plan that involves other people is the best way to stay sober. Ex would be, newly sober, what do you do if you come across a "friend" or dealer. Need a plan. ...Read moreSee 1 more doctor answer
Any thoughts on why people with schizophrenia have such high rates of smoking (nicotine addiction)?
Nicotine & Schiz: There are different ideas about this, but no "written in stone" answers. One is the possibility that nicotine may assist people whose internal "gating" mechanisms may be faulty -- where they have trouble differentiating inner from outer stimuli. Another is that nicotine may simply be more addicting in schizophrenic brains than others. http://www.ncbi.nlm.nih.gov/pubmed/23919443. ...Read moreSee 2 more doctor answers
THEY HELP: Treating depression is more than just giving meds. A therapist should help you expand your understanding of what is bothering you and help find ways to deal with it. There are many kinds of depression - find an experienced theapist to diagnose and creat a program for you to get better. ...Read moreSee 2 more doctor answers
Controversial: There are some people who believe that 12-step programs can resemble a "cult" process. However, most professionals in this field definitely do not believe this, and having met tens of thousands of people in aa and na, I do not believe that this is true either. People who benefit from meetings go to more meetings, and get more out of it. Addiction implies it does harm- in most folks it does good. ...Read moreSee 1 more doctor answer
Professional help: Having other comorbid conditions such as anxiety can cause relapse if not properly addressed. I would encourge professional help from someone who knows about anxiety and addictions. Some medications used for anxiety could be addictive as well. Add couseling or learn about mindful meditation. This can help with coming to terms with your anxiety, improve it and accept it without it causing distress. ...Read moreSee 1 more doctor answer